Ferris D G, Miller M D, Wagner P, Walaitis E
Department of Family Medicine, Medical College of Georgia, Augusta 30912-3500.
Fam Pract Res J. 1993 Sep;13(3):267-73.
The purpose of this investigation was to determine family physicians' and gynecologists' attitudes toward and understanding of the Bethesda System, a new cervical cytology classification and reporting system.
A convenience sample of 159 family physicians and gynecologists completed a questionnaire that assessed attitudes, knowledge, and opinions about the Bethesda System.
Compared with family physicians, gynecologists thought the Bethesda System was more likely to cause patient management problems (p < 0.001) and preferred not to combine viral cytologic effects with mild dysplasia when reporting a low-grade squamous intraepithelial lesion (p < 0.004). However, increased understanding of the system by physicians correlated with greater preference for the Bethesda System (p < 0.02). In this exploratory study, family physicians, rather than gynecologists, were more inclined to use the Bethesda System and perceived it as a means to reduce clinical evaluation and patient management problems. Gynecologists reported a fuller understanding of the Bethesda System, yet they were more critical of the cytology categorizations. Within each specialty, greater understanding of the Bethesda System led to its wider acceptance.
本调查旨在确定家庭医生和妇科医生对一种新的宫颈细胞学分类及报告系统——贝塞斯达系统的态度和理解。
选取159名家庭医生和妇科医生作为便利样本，他们完成了一份关于对贝塞斯达系统的态度、知识及看法的问卷。
与家庭医生相比，妇科医生认为贝塞斯达系统更有可能导致患者管理问题（p<0.001），且在报告低级别鳞状上皮内病变时，更倾向于不将病毒细胞学效应与轻度发育异常合并（p<0.004）。然而，医生对该系统理解的增加与对贝塞斯达系统的更大偏好相关（p<0.02）。在这项探索性研究中，家庭医生而非妇科医生更倾向于使用贝塞斯达系统，并将其视为减少临床评估和患者管理问题的一种手段。妇科医生报告对贝塞斯达系统有更全面的理解，但他们对细胞学分类更为挑剔。在每个专业领域内，对贝塞斯达系统的更多理解导致其被更广泛地接受。
